The objective of the International Society for the Study of Women's Sexual Health expert consensus panel was to develop a concise, clinically relevant, evidence-based review of the epidemiology, physiology, pathogenesis, diagnosis, and treatment of hypoactive sexual desire disorder (HSDD), a sexual dysfunction affecting approximately 10% of adult women. Etiologic factors include conditions or drugs that decrease brain dopamine, melanocortin, oxytocin, and norepinephrine levels and augment brain serotonin, endocannabinoid, prolactin, and opioid levels.
International Journal of Psychoanalytic Psychotherapy
This paper traces the transformation of narcissism, paralleling the transformations of object love, occurring between early and late adolescence. Narcissism is examined in terms of three lines of development: erotic self-love, omnipotence, and the regulations of self-esteem. The transition occurs relatively rapidly in most normal and psychoneurotic individuals and involves a massive reorganization of the psyche. The acquisition of a body image of an adult sort probably acts an organizer. A normal consequence is the first romantic love relationship.
Erotomania is reexamined by an in-depth study of eight patients. There appear to be two main varieties: the phantom lover syndrome, or fixed delusion elaborated around a person who does not exist, and erotomania proper, a recurrent tendency to believe that one is loved by a powerful, prominent man.
The prevailing attitudes towards sexuality in old age are described in a rather phenomenological analysis: sexuality ends corresponding to the termination of reproductiveness; sexual needs in old age appear to be pathological; the elderly's sexual acts are disgusting. Empirical findings corroborate those conclusions. The situation is explained by societal circumstances, by the learning histories, and by the living conditions in old age. Examples of agreement with sexuality in old age demonstrate the often idle potentialities which are hidden in this sector of life.
The authors present a collaborative treatment model designed to help the closely merged, troubled lesbian relationship. Therapeutic techniques focus on change in territorial, temporal, monetary, cognitive, emotional, and environmental space. A case example illustrates the interventions, which include individual and conjoint work, collaboration between therapists, education, bibliotherapy, referral to gay community resources, and specific suggestions for behavior change.
The Journal of the American Academy of Psychoanalysis
Although the erotic transference is believed to be universal, it is variable in its expression. Drawing on the distinction between transference resistance and resistance to the awareness of the transference, I have proposed that, in general, the erotic transference utilized as resistance is more common among women, while resistance to the awareness of the erotic transference is more common among male patients. Erotic transference as resistance poses different analytic problems from those posed by resistance to its awareness.
Theorists such as Farber argue that in adolescence passionate love first appears in all its intensity. Both adolescence and passion are "intense, overwhelming, passionate, consuming, exciting, and confusing". As yet, however, clinicians have been given little guidance as to how to deal with adolescents caught up in their passionate feelings. Nor has there been much research into the nature of passionate love.
A multifaceted study was conducted to identify differences in biopsychosocial characteristics between a clinical group of 59 married women who complained of inhibited sexual desire (ISD) and 31 married women who expressed normal sexual desire (non-ISD). Areas of examination included personality, endocrine, relationship, and sexual dimensions. Instruments of data collection included the MMPI, Dyadic Adjustment Scale, radioimmunoassay of testosterone and prolactin levels, and a questionnaire which focused on demographic, relationship, and sexual information.
Two decades ago, experimental social psychologists became interested in the emotion of passionate love, "the desire for union with another." Recently, sex researchers have begun to focus on sexual desire, "the desire for sexual union with another," or the loss thereof. In this paper we review what experimental social psychologists have learned about the nature of passionate love in the last two decades and contrast their view of passion with that of sex researchers, especially with regard to the role that anxiety plays in the intensification/diminution of passion.
Journal of the American Psychoanalytic Association
In this paper I examine the interplay of love and aggression in a couple's emotional relationship. I explore the activation of dominant repressed or dissociated object relations with the parental figures, and the unconscious collusion of both partners to enact these past relationships in the present. I then examine the couple's relationship as determined by differences in male and female development, as well as the counterpart of these differences--unconscious moves toward "twinship" and complementarity.